Provider Demographics
NPI:1548792401
Name:SINGLETON, BREANNA (CNIM)
Entity Type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:BREANNA
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 N CENTRAL EXPY UNIT 2586
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-0139
Mailing Address - Country:US
Mailing Address - Phone:303-704-4621
Mailing Address - Fax:
Practice Address - Street 1:280 E 1ST AVE UNIT 727
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80038-2229
Practice Address - Country:US
Practice Address - Phone:303-704-4621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
3993OtherABRET CNIM